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Re: can Remeron + Luvox be combined safely? » Phillipa

Posted by yxibow on January 15, 2007, at 0:52:59

In reply to Re: can Remeron + Luvox be combined safely? » yxibow, posted by Phillipa on January 14, 2007, at 19:30:49

> Jay what do you think of cymbalta? It reeved me up badly second go of it. First time nothing so wierd? Love Jan

Well its hard to say since I am on polypharmacy. The higher dose of Valium may cover up some of the intensity of Cymbalta, its hard to say, but I will admit Cymbalta has covered some, but not all of my MDD. There will always be breakthroughs, nothing is perfect. In general, all the serotonergic agents on board tend to give electric shocks when heavily excercising and turning one's head. This is fairly common actually. This has somewhat diminished I think, although its hard to say.


I once accidentally took a dose so I was up to 180mg of it. Didn't feel all that well and was a bit hyped up but I just took the next day's first dose later. It has a fairly wide safety margin, I won't say how much for obvious reasons.


You're taking the Cymbalta and Luvox together? Or you're saying you tried Cymbalta once recently. Together I would say that's a bit too serotonergic unless you manage it carefully. As for taking agents second or third time around -- I never feel exactly the same, I don't know -- I mean I felt the strangest almost psychadelic euphoria when I first took Ambien, never again. I think each time something hits a transmitter in my brain there is a memory or something.


But in general, medically speaking, assuming a lifetime of various degrees of mental/psychobiological illness, it is a moving target, so you may not get the same benefit of a medication the second time around just simply because your chemistry has changed.


Also, Cymbalta is one of those medications that takes quite a long time to take effect so regardless of the initial "rev up" which can be covered by a bit more of your Valium for a short period of time, it may not take its full effect for months and you may not need the additional benzodiazepines later, I can't guarantee anything, its your body.


It is a subtle medication and you have to decide whether its worth sticking it out or not. And also I assume you are thinking or are still going to therapy, which is just as important as well, to transition to doing more things with your time.

-- tidings

Jay

 

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URL: http://www.dr-bob.org/babble/20070113/msgs/722418.html